Building Usage Request Form
Lutheran Church of the Resurrection
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With so many members, ministries, and community groups occupying our facilities, the Lutheran Church of the Resurrection (LCR) must schedule and control their usage responsibly. In order to utilize LCR’s building, you and your group must apply for permission using this form. Please submit this form with any attachments to our Church Office. Please email us at "office@lcr-yardley.org" for additional information and questions. Hard copies of this document are available upon request or located in the church office.
Contact Information
Contact Name *
Group Name *
Mailing Address *
Email *
Phone *
Are you an LCR Member *
Non-Profit Tax ID
Event Information
Name of Event *
Proposed Date *
MM
/
DD
/
YYYY
Additional Date Information
list any additional dates here or indicate if the provided dates are reoccurring.
Start Time *
Time
:
End Time *
Time
:
Approximate Number of Participants *
Event Publicity *
Reserve a Room *
If you need more than one room for your event, please specify in the "Other Needs" section below.
Other Needs
Please specify any other needs you may have for your event. (Additional rooms, AV equipment, etc.)
Disclaimer
Answering “Yes” to any of the 3 questions below will require an initial deposit of $40 accompanying this form. You may also be required to submit a Safety Deposit, sign a waiver of indemnification, provide a Certificate of Insurance listing LCR as the insured, and pay a user fee to be determined by LCR. (See “For Profit Use Policy”)
Is this a fundraising event? *
Will the event be advertised *
Will there be an entrance fee? *
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